HomeMy WebLinkAbout420 W MOUNTAIN AVE - PERMITS - 11/12/1997Community Planning & Environmental Services
Building Permits & Inspections Division BUILDING PERMIT
Collins
P.O. Box 580
221-6769
City of Fort
Fort Collins, CO 80522-0580
JOB SITE ADDRESS 4., W OUNTATN AVE
_ 80521
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Permit Type
Work Typa
Category TYPE
MECHANICAL_
ALTERATION
SINGLE FAMILY DETACHED
Proposed Use
Use Zone
I
Permit Level
RESIDENTIAL
17ULL FINAL -
Subdivision ❑
PUD
Filing
J
�
Subdivision/PUD
Building Valuation
w
4000
J
Lot
Block
Parcel No.
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AccouNr
I FEE
E A
DATE A
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Z
0
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ad
O
3
0
Z
O
a
a
V
N
0
Phone No.
80521
Sales Tax No.
,quore Footage Basement Square Footage No. of Stories Building Height
0
.y Load Occupancy Separation Area Separation Fire Containmer
Melling Units I No. of Bedrooms I No. of Bathrooms Stock Plan/Options
ALLATION OF GAS STOVE IN STUDIO - RESIDENTIAL
LEFT
SETBACKS
REAR
FRONT
RIGHT
3LDG PERMIT FLAT 15.00 971112
NTY SALES USE TA 60.00 971112 Plat File No.
MUNTY'SALES TAX 5.00 971112
Off St. Parking
REQUIRED•
CALL221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for Inspection Description)
GL FNM SPI
TOTAL, FEES
p
• 0974461 "'1 NOVEMBER 12, 1997 DEPARTMENT STATUS DATE I • •
Electrical
As a condition for the issuance of a permit, I hereby declare that I am an owner or the OTC PE RM T ISS N/A
owner's agent, authorized to perform the proposed work on the property described herein.
I agree to comply with all the requirements contained herein, and City ordinances, and State Mechanical
laws associated with such work. I understand that such permit may be revoked in the event NSA
that issuance was based on incorrect information. This permit shall become null and void if Plumbing
the work authorized by such permit is not commenced, suspended, abandoned, or not N/A
inspected within 180 days from date of such permit.
Roofing
Signature �/� Date �/ ! n N/A